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At least 199 records · Page 11Linked to original sources
PubMed1989

Postoperative care of the total knee patient.

After total knee surgery the three most important problems are thromboembolic disease, disorders of wound healing, and inadequate range of motion. With the use of prophylactic anticoagulation, CPM, autologous blood replacement, good nutrition, and careful wound closure, most patients will have an uneventful postoperative course and reach the maximum potential from their knee arthroplasty.

Humans↗
PubMed2003

Intensified postoperative care versus conventional follow-up: a retrospective long-term analysis of 177 trabeculectomies.

PURPOSE: To evaluate the long-term outcome of trabeculectomy under the conditions of intensified postoperative care (IPC) compared with conventional follow-up. METHODS: One hundred and seventy-seven consecutive primary trabeculectomies (168 patients) with a median follow-up of 4.5 years were retrospectively analyzed at the University Eye Hospital, Würzburg. Seventy-three trabeculectomies (70 patients) were followed by the surgeon under the conditions of IPC (group 1), and 104 trabeculectomies (98 patients) were followed by other ophthalmologists without IPC (group 2). The following measures to control wound healing were predominantly used in group 1: (1) increase in topical steroid administration if corkscrew vessels were present; (2) repeated injections of 5-fluorouracil (5-FU) at the beginning of bleb scarring; and/or (3) needling plus 5-FU administration if an encapsulated bleb developed. Postoperative intraocular pressure (IOP) was defined as "successful" when it did not exceed 21 mmHg and was at least 20% lower than the treated preoperative IOP. Stable visual acuity was defined as +/-1 line. RESULTS: The success rates of IOP control were about 95% in both groups. In the IPC group 45 of 73 eyes fulfilled all success criteria without additional anti-glaucoma medication (61.6%), whereas in conventional follow-up only 33 of 104 eyes fulfilled all success criteria without medication (31.7%). CONCLUSIONS: This study demonstrates that a much higher proportion of filtering blebs reach target IOP without medication if measures of IPC are consistently used by a glaucoma specialist when necessary.

Aged↗
PubMed1999

Indications, evaluations, and postoperative care of the combined liver-heart transplant recipient.

Multiorgan transplantation is now possible because of improvements in immunosuppression and surgical techniques. Combined liver-heart transplantation (CLHT) is a new option with initial 1-year data reporting 80% 1-year survival rates. Organs transplanted with the liver appear to have less allograft rejection. Within the United States, fifteen CLHTs have been performed. Three CLHTs have been performed at the University of Chicago and are discussed in this article. Guidelines for evaluation and listing criteria for CLHT recipients have not been established in the medical community. Postoperative care of this patient group is demanding and requires a thorough understanding of multiorgan pathophysiology, management of high-incidence acute renal dysfunction, tight intravascular volume regulation, and an experienced multidisciplinary approach to care.

Graft Rejection↗